title: Development of a diagnostic glove for unobtrusive measurement of chest compression force and depth during neonatal CPR.
abstract: Optimizing chest compression (CC) performance during neonatal cardiopulmonary resuscitation (CPR) is critical to improving survival outcomes since current clinical protocols often achieve only a fraction of the native cardiovascular perfusion. This study presents the development of a diagnostic tool to unobtrusively measure the CC depth and force during neonatal CPR using sensors mounted on a glove platform. The performance of the glove was evaluated by infant manikin tests using the two-thumb (TT) and two-finger (TF) methods of CC during simulated, unventilated neonatal CPR. The TT method yielded maximum CC depths and forces of as much as 25.7 ± 3.2 mm and 35.9 ± 2.2 N while the TF method produced CC depths and forces of as much as 21.6 ± 2.2 mm and 23.7 ± 2.9 N. These results are consistent with clinical findings which suggest that TT compression is more effective than TF compression since it produces greater CC depths and forces.
authors.forename: Kiran
authors.initials: K
authors.lastname: Dellimore
authors.forename: Stephan
authors.initials: S
authors.lastname: Heunis
authors.forename: Francis
authors.initials: F
authors.lastname: Gohier
authors.forename: Elize
authors.initials: E
authors.lastname: Archer
authors.forename: Adéle
authors.initials: A
authors.lastname: de Villiers
authors.forename: Johan
authors.initials: J
authors.lastname: Smith
authors.forename: Cornie
authors.initials: C
authors.lastname: Scheffer
mesh_terms: D002138:Calibration; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation* / Q000379:methods*; D003020:Clothing; D004867:Equipment Design; D005385:Fingers / Q000502:physiology*; D006801:Humans; D007223:Infant; D008348:Manikins; D011312:Pressure; D013314:Stress, Mechanical; D013909:Thorax; D013933:Thumb